Jobsite Safety Audit

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

PPE

• Is everyone wearing gloves, and are they in good condition?

  Yes

  No

  N/A

• Is everyone wearing safety glasses, and are they in good condition?

  Yes

  No

  N/A

• Is everyone wearing a hard hat (if required)?

  Yes

  No

  N/A

• Is everyone wearing a safety vest, and is it in good condition?

  Yes

  No

  N/A

• Is everyone wearing safety shoes, and are they in good condition?

  Yes

  No

  N/A

• Is everyone wearing sleeves (if required)?

  Yes

  No

  N/A

• Is any other PPE required (hearing protection, dust mask, fall protection, etc,), and if so, are they wearing it?

  Yes

  No

  N/A

Administrative

• Did you attend orientation prior to starting this job?

  Yes

  No

  N/A

• Do you have the NOVA Mobile App?

  Yes

  No

  N/A

• Can you tell me where the nearest NOVA locations is?

  Yes

  No

  N/A

• Do you know the evacuation procedure?

  Yes

  No

  N/A

• Do you know where the nearest fire extinguisher is?

  Yes

  No

  N/A

• Do you know where the JSA is located?

  Yes

  No

  N/A

• Where is the first aid kit located?

  Yes

  No

  N/A

• Is the first aid kit stocked with supplies?

  Yes

  No

  N/A

• Do you know how to report an accident or injury?

  Yes

  No

  N/A

• Are emergency contact numbers posted, or easily accessible?

  Yes

  No

  N/A

• Are any permits required?

  Yes

  No

  N/A

• Is housekeeping in order?

  Yes

  No

  N/A

• Does the work area have adequate lighting?

  Yes

  No

  N/A

• Are employees aware of proper lifting techniques?

  Yes

  No

  N/A

• Are employees doing a 5 minute stretch & flex before lifting, especially when loading or unloading trucks?

  Yes

  No

  N/A

• Is your water jug cleaned daily?

  Yes

  No

  N/A

• Are all spray bottles and other containers labeled properly?

  Yes

  No

  N/A

• Where are the Safety Data Sheets located?

  Yes

  No

  N/A

• Do you know the Safety A'S?

  Yes

  No

  N/A

Equipment

• Are hand tools in good condition?

  Yes

  No

  N/A

• Are electrical cords in good condition with no damage or repairs?

  Yes

  No

  N/A

• Are power tools in good condition, including having any required guards in place?

  Yes

  No

  N/A

• Are GFCI'S being used on all power cords, including power tools?

  Yes

  No

  N/A

• Are ladders being inspected prior to use?

  Yes

  No

  N/A

• Is the correct size ladder being used?

  Yes

  No

  N/A

• Are ladders being used properly?

  Yes

  No

  N/A

• Is scaffolding in good condition?

  Yes

  No

  N/A